Kuilema Pottery 5519 Ranger Hills Drive SE Grand Rapids, MI 49546

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Address:	____________________________
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4" Tiles are $24 each
6" Tiles are $36 each
On orders of 10 tiles or more a 10% discount applies

Quantity

Tile Description

Color

Amount $

		Sub-total:
		Shipping (10% of Sub-total, Minimum $8):
		Total:

Make checks out to Kuilema Pottery Mail along with order form to 5519 Ranger Hills Drive SE Grand Rapids, Michigan 49546 Allow 6 weeks for delivery